5 Written questions
5 Matching questions
- Garlic (Allium sativum) Side Effects
- Aloe (Aloe vera or Aloe barbadenis) Side Effects
- Ginkgo (Ginkgo biloba) Side Effects
- Aloe (Aloe vera or Aloe barbadenis)
- Clove Oil Side Effects
- a Aloe LATEX or "drug aloe" comes from the glands in the leaf surface and has strong laxative properties, leading to side effects including severe abdominal cramping and fluid loss and is not recommended.
- b Odor, nausea, mouth/esophageal ulceration
Increases risk of bleeding - discontinue use 2-3 weeks before surgery, caution with anticoagulants or antithrombotics (Aspirin or NSAIDS)
- c Gel is used topically in treatment of burns and wounds.
There have been some work done using these as a mouth rinse. Be careful not to swallow, however, because it has a strong laxative effect
- d May increase risk of bleeding - use caution with anticoagulants or NSAIDS, discontinue 2 weeks before surgery, risk of serotonin syndrome
- e Small ulcers when applied to gums; in large doses or if injected can cause liver failure, CNS and respiratory depression (lethal dose = 3.8 g/kg)
5 Multiple choice questions
- Treatment of early colds, or topically for psoriasis, eczema and burns
- Available without a prescription
Self-diagnosis and self-prescribing (control over disease + treatment)
Perceived to have fewer side effects, no lethal effects
Lack of health insurance
Other options have not worked
Strong advertising - enhanced immune function, easy weight loss, etc.
Perceived as "natural, safer, and healthier"
- CNS depression and arrhythmia at toxic doses
Anti-platelet effects may increase bleeding (might want to stop taking it 2 weeks prior to dental procedure)
- Several cases of hepatitis and liver failure
Watch for symptoms - abdominal pain, jaundice, dark urine
Headaches, stomach discomfort
5 True/False questions
Black Cohosh → Use: topically for dental pain
-Shown to have similar efficacy to benzocaine
-Dip a cotton swab in the clove oil and apply it to the exposed part of the tooth
-Avoid tongue due to unpleasant taste
-Also used for flavoring, cough, sore throat, skin infections (acne, warts, scars)
Evening Primrose Oil (Oenothera biennis) → GI upset, headache
Ginseng (American or Asian (Panax) ginseng) Side Effects → potential effects on coagulation, do not use in patients taking anti-coagulants, MAO-Is, antipsychotics and hypoglycemics. Not recommended in pregnancy. Risk of serotonin syndrome.
Discontinue 7 days before general anesthesia
Popular Herbal Remedies → Clove oil
Licorice root extract
Evening primrose oil
Echinacea (purpura, angustifolia) Side Effects → Treatment of early colds, or topically for psoriasis, eczema and burns